Sustaining Lean in Healthcare: Developing and Engaging Physician Leadership

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Achieving breakthrough performance in model cell experiments is a critical component of system transformation. Fundamental care model redesign is necessary. The Atrius Health Innovation Center was created in response to this challenge with a mission to reliably design, test, and spread new models of care.

While traditional lean improvement pulls knowledge from lean manufacturing techniques to remove waste from existing processes, the Atrius Health Innovation Center process pulls from lean product development techniques and design thinking and focuses on disrupting the current way of delivering care. Atrius Health is a large multispecialty primary care practice and pioneer ACO serving over , patient lives in the greater Boston area. This session will provide attendees with an overview of the successes, failures, and learnings from the PR work, including the establishment of a Management Guidance Team, alignment and prioritization of projects, data victories and challenges, sequenced RPIWs, patient-family engagement, and standard work across sites and reporting lines.

It will conclude with initial results and plans to continue work through FY and beyond. The focus was sharing their Strategy Deployment and Daily Management systems.

Lean leadership attributes: a systematic review of the literature

The Mercy team learned, reflected, and translated what was shared at the gemba visit back into their own Strategy Deployment system and model cell work in Oklahoma City. Leaders are the key to making and sustaining a lean transformation.


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One of the central elements in a Lean management system is leader standard work. Leader standard work defines expected behavior of leaders and shifts the focus from results only to process first and results second. Physicians by the nature of current healthcare systems are seen as leaders.

Sensei and Physician/Executive Advisors Archives | Virginia Mason Institute

Therefore, their behaviors or lack thereof can profoundly influence system performance. However, engaging physicians in standardized practice routinely meets significant resistance. In addition, gaps, challenges, learning, and next steps will be shared. Healthcare organizations adopting lean thinking principles and methods eventually use strategy deployment to align and focus resources on the critical few priorities they believe will propel them toward True North.

However, the same troublesome patterns emerge as these organizations struggle with the concepts and tools. First, avoidance of making strategic choices is creating overburden. Second, the lack of deploying differentiation from competitors is contributing to a commoditized industry.

Third, absence of rapid cycle learning is creating organizational inertia. Finally, inability to hold meaningful dialogue in the catch-ball process is creating confusion about expectations and performance. Successful organizations in other industries use a process of strategic learning that avoids these pitfalls. They clearly define what success will look like. They make explicit choices of spaces or segments in which they must succeed, versus others where they will hold their ground.

Then they make critical choices of the processes they believe will create competitive advantage. They treat their strategy as a hypothesis, dependent on assumptions about internal capability, customer response, and competitor reactions.

Sensei and Physician/Executive Advisors

This learning session exposes the participants to this framework, and immerses them in experiential learning as they apply it to their own situation. The Toyota Production System Support Center TSSC has applied their approach to continuous improvement for more that twenty years with other manufacturers, non-profits and community organizations to help them find better ways of doing their day-to-day work.

Results include: improved patient access and flow through Primary Care and improved presentation and control of supplies in the Operating Room core. The purpose of this learning session is to help these healthcare executives learn, share, and connect around issues important to their unique role in healthcare. At the end of this session, through large and small group discussion, attendees should be able to:.

To build a culture of problem solvers it starts with leaders not solving all the problems. Easy to say, harder to do. Through the use of the Kata questions and the creation of a repeatable problem solving system Cleveland Clinic leaders are doing just that. We are shifting our leader behaviors by providing a simple, visible, and tangible process that is used consistently across all healthcare processes.

And it works everywhere. Our approach including templates and standard work can be rapidly utilized in other organizations to engage the front line in solving problems. At the end of this session, through dialogue, observation and small group, attendees should be able to:. The Richard L.

Simu-Leader: Training for Leadership in Patient Safety and Health Care Quality Improvement

Roudesbush VA Medical Center will share their journey of sharing experience at the leadership to frontline staff levels. We will demonstrate how leadership involvement and encouragement grows an innovative collaborative effort and then blossoms into partnerships outside of the Medical Center. We will demonstrate how we utilize flexibility and adaptability in our everyday work environment and create opportunities that may not have been available to us.

Building an environment of sharing knowledge and experience helps create an avenue for collaboration and partnerships. As such, an increase in site visits within and outside of the Department of Veteran Affairs organization has lent itself to collaborating with lean practitioners in the healthcare industry in our Indianapolis metropolitan area. A great strategy poorly executed will lead to poor patient and business outcomes. Anyone can see that relationship. Those routines that have proven to be extremely effective at improving process can be used to help your operational units and executive teams focus, prioritize, and drive your overall business strategies toward your goals.

Ali and Bill will show you a practical routine used within ThedaCare over the last year to help unit and divisional teams focus and drive the right work. Wednesday 10am session: Model cell experiments and comprehensive spread At the end of this session, attendees will gain insight into how to develop a model cell and then spread to other areas of the organization, insight into challenges that arise in developing the model cell, and ideas to take back to your organization for redesigning your care delivery.

Wednesday am session: Finance experiments At the end of this session, attendees will gain an understanding about the improvement work being done within the areas of revenue cycle, shifting from budgeting to forecasting and payment model experiments. Also, they will gain insight into and be able to describe improvement work performed within IT and the importance of this work to the strategic goals of the organization. Explain how having HR on board can accelerate lean transformation in Health Care.

Discuss common barriers to effective coordination between HR and CI leaders. The toolkit can be used for implementing Lean practices learned in the course into your work environment. One ACMPE credit is earned for every 60 minutes of educational contact, rounded down to the nearest 0.

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Generic CEU certificates of attendance are available to registered eLearning participants who complete the course as described above. One generic CEU credit is awarded for every 60 minutes of educational contact, rounded down to the nearest 0. Self-study course: Available for 60 days from the first time you login to your course Choose your own schedule and pace Engaging, up-to-date content to maximize learning: Multimedia, videos and animation Interactive quizzes and real-life problem-solving scenarios Identification of learning gaps and additional resources to close those gaps The ability to take notes within the course platform and print for future reference To provide you maximum scheduling flexibility, this course is divided into several short segments, allowing you to complete one or more at a time.

Who should participate? This course is designed for individuals who want to understand the scope, methods and tools needed to implement Lean concepts to improve processes and create sustainable change in their organizations. Fees cannot be refunded once the program has been started or completed. Full registration fees will be refunded in full within 90 days of the cancellation.